| NPI | 1629337118 |
|---|---|
| Former Name | JOHN PAUL REGAN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: PA OS019100) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: NJ 25MB10128600) |
| Enumeration Date | 2012-05-03 |
| Last Update Date | 2020-03-06 |